April 2019, Volume 112 - Issue 4

Is Endurance Exercise Safe? The Myth of Pheidippides

Christine Rutlen, BA, David L. Rutlen, MD

Abstract: With the increase in participation in endurance events in the general population, patient concern may arise as to whether endurance exercise is safe. Acute but not chronic increases in blood urea nitrogen, creatinine, and urine albumin occur in endurance exercise....

(pp 210-214)

Evaluating the Burnout-Thriving Index in a Multidisciplinary Cohort at a Large Academic Medical Center

Rebecca Gates, BS, David Musick, PhD, Mark Greenawald, MD, Kimberly Carter, PhD, RN, Richard Bogue, PhD, Lauren Penwell-Waines, PhD

Abstract: Objectives: There has been significant discussion about the quality of burnout research, especially with regard to abbreviated measurements of burnout and/or well-being. The purpose of this study was to compare a single-item, investigator-developed question measuring...

(pp 199-204)

Mycobacterium fortuitum Meningitis: Approach to Lumboperitoneal Shunt Infection

Jack Zakrzewski, BS, Kimberly Hu, BS, Brandon L. Neisewander, BA, Darian R. Esfahani, MD, MPH, Abhiraj D. Bhimani, BS, Harsh P. Shah, MD, Dafer W. Haddadin, MD, Ankit I. Mehta, MD

Abstract: Mycobacterium fortuitum is a rare, opportunistic pathogen most frequently contracted through contact with a contaminated source. An immunocompetent 26-year-old female patient presented to our institution with an infected lumboperitoneal (LP) shunt presenting as continued...

(pp 217-221)

Outcomes in an Interdisciplinary Diabetes Clinic in Rural Primary Care

Dana E. King, MD, MS, Ashley B. Petrone, PhD, Frederick M. Alcantara, MD, Megan M. Elavsky, PharmD, Michelle O. Prestoza, MD, Judy Siebart, MS, RD, Greg Castelli, PharmD

Abstract: Objective: The purpose of this study was to evaluate the effectiveness of an interdisciplinary diabetes team model of care in assisting patients to achieve improved glucose control in a primary care rural setting.Methods: A family medicine clinic at a rural university...

(pp 205-209)

Objectively Measured Physical Activity and All-Cause Mortality Among Cancer Survivors: National Prospective Cohort Study

Paul D. Loprinzi, PhD, Allison Nooe, BS

Abstract: Objective: The understanding of the effects of physical activity on all-cause mortality among cancer survivors is limited. We attempted to draw a relation between physical activity and survival among those with a diagnosis of cancer.Methods: Data from the 2003–2006...

(pp 234-237)

A Brief Review of the Pharmacology of Hyperkalemia: Causes and Treatment

James M. Wooten, PharmD, Fernanda E. Kupferman, MD, Juan C. Kupferman, MD, MPH

Abstract: Hyperkalemia is a common problem in both inpatients and outpatients. Many disease states (eg, chronic kidney disease) and medications may precipitate hyperkalemia. There are several drugs now available to treat hyperkalemia. Many of these drugs are relatively new. This...

(pp 228-233)

On “Importance of Interdisciplinary Medical Education: A Frontline Perspective”

Regwaan Choudhury, Third Year MBBS Student, Jai Mathur, Fifth Year MBBS Student

Abstract: To the Editor: We thank Pandey and Jackson for their article, “Importanceof Interdisciplinary Medical Education: A Frontline Perspective,” which aptly identified some of the key discourse on integrating interdisciplinary education into the medical...

(pp 252)

CME Article: Comparison of Factors Identified by Patients and Physicians Associated with Hospital Readmission (COMPARE2)

Eric Dietrich, PharmD, BCPS, Kyle Davis, PharmD, BCPS, Lisa Chacko, MD, MPH, Kiarash P. Rahmanian, MPH, Lauren Bielick, BSN, RN, David Quillen, MD, David Feller, MD, Maribeth Porter, MD, MS, John Malaty, MD, Peter J. Carek, MD, MS

Abstract: Objective: Factors contributing to hospital readmission have rarely been sought from the patient perspective. Furthermore, it is unclear how patients and physicians compare in identifying factors contributing to readmission. The objective of the study was to identify and...

(pp 244-250)

Native Joint Septic Arthritis: Comparison of Outcomes with Medical and Surgical Management

Kaoru Harada, MD, Ian McConnell, MD, Eric C. DeRycke, MPH, Jürgen L. Holleck, MD, Shaili Gupta, MD

Abstract: Objective: To determine whether there are differences in the outcomes of native joint septic arthritis (SA) in adults, based on medical versus surgical management.Methods: A 10-year retrospective single-center study was conducted of patients admitted to a tertiary care...

(pp 238-243)

Open Access: Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center

Joshua P. Spaete, MD, Jiayin Zheng, PhD, Shein-Chung Chow, PhD, Rebecca A. Burbridge, MD, Katherine S. Garman, MD

Abstract: Objectives: Accurate localization of a colonic lesion is crucial to successful resection. Although colonic tattooing is a widely accepted technique to mark lesions for future identification surgery or repeat colonoscopy, no consensus guidelines exist. The objective of this...

(pp 222-227)

Commentary on “Is Endurance Exercise Safe? The Myth of Pheidippides”

G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: I commend Ms Christine Rutlen and Dr David Rutlen for their dedication in developing this interesting treatise on the effects of long-distance running on the human body.1 They have striven to survey the pertinent literature with respect to the various organs potentially...

(pp 215-216)

Know the New HIV Testing Guidelines?

Pradeepthi Badugu, MD, Steven Lippmann, MD

Abstract: To the Editor: Human immunodeficiency virus (HIV) testing identifies people infected with HIV.1 A positive assay confirms the diagnosis and provides an opportunity for lifesaving treatment. Accurate detection in an early stage of illness allows pharmacotherapy that could...

(pp 251)